Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles M Sullivan, MD

Individual provider Family Medicine Physician · NPI 1144217530

Dr. Charles M Sullivan, MD is a Family Practice in Overland Park, Kansas. Graduated from University of Missouri, Kansas City, School of Medicine in 1991, 35 years ago. Offers telehealth. Licensed in Kansas.

Years since qualifying
35
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10100 W 119th St Ste 150
Overland Park, KS 66213-1604
Phone: (913) 754-0061
Fax: (913) 338-1311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0425276 (KS)

Record details

NPI number1144217530
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJanuary 28, 2022
Mailing addressPo Box 741331, Atlanta, GA 30374-1331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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